Single-port Transvesical Excision of Foreign Body in the Bladder

Michael Ingber, Robert J. Stein, Raymond R. Rackley, Farzeen Firoozi, Brian H. Irwin, Jihad H. Kaouk, Mihir M. Desai

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Objectives: To present a novel technique to remove intravesical polypropylene mesh through a single laparoscopic port placed directly into the bladder. Methods: A Triport single-site access system was placed transvesically and carbon dioxide was used for insufflation of the bladder. A combination of straight and articulating laparoscopic instruments was used to dissect the mesh away from the bladder mucosa and transect each end for complete removal of foreign bodies. Mucosal reapproximation was performed on the latter case. Results: Two patients were managed adequately in the outpatient setting. No suprapubic catheters were necessary, and patients were discharged within 23 hours. Conclusions: Removal of foreign bodies of the bladder through a single transvesical laparoscopic port is technically feasible. This procedure offers excellent visualization of mesh material, especially near the bladder neck where these foreign bodies often reside. This approach offers patients a minimally invasive approach through a single small incision.

Original languageEnglish (US)
Pages (from-to)1347-1350
Number of pages4
JournalUrology
Volume74
Issue number6
DOIs
StatePublished - Dec 1 2009
Externally publishedYes

Fingerprint

Foreign Bodies
Urinary Bladder
Insufflation
Polypropylenes
Carbon Dioxide
Mucous Membrane
Outpatients
Catheters

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Ingber, M., Stein, R. J., Rackley, R. R., Firoozi, F., Irwin, B. H., Kaouk, J. H., & Desai, M. M. (2009). Single-port Transvesical Excision of Foreign Body in the Bladder. Urology, 74(6), 1347-1350. https://doi.org/10.1016/j.urology.2009.07.1218
Ingber, Michael ; Stein, Robert J. ; Rackley, Raymond R. ; Firoozi, Farzeen ; Irwin, Brian H. ; Kaouk, Jihad H. ; Desai, Mihir M. / Single-port Transvesical Excision of Foreign Body in the Bladder. In: Urology. 2009 ; Vol. 74, No. 6. pp. 1347-1350.
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Ingber, M, Stein, RJ, Rackley, RR, Firoozi, F, Irwin, BH, Kaouk, JH & Desai, MM 2009, 'Single-port Transvesical Excision of Foreign Body in the Bladder', Urology, vol. 74, no. 6, pp. 1347-1350. https://doi.org/10.1016/j.urology.2009.07.1218

Single-port Transvesical Excision of Foreign Body in the Bladder. / Ingber, Michael; Stein, Robert J.; Rackley, Raymond R.; Firoozi, Farzeen; Irwin, Brian H.; Kaouk, Jihad H.; Desai, Mihir M.

In: Urology, Vol. 74, No. 6, 01.12.2009, p. 1347-1350.

Research output: Contribution to journalArticle

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AU - Ingber, Michael

AU - Stein, Robert J.

AU - Rackley, Raymond R.

AU - Firoozi, Farzeen

AU - Irwin, Brian H.

AU - Kaouk, Jihad H.

AU - Desai, Mihir M.

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AB - Objectives: To present a novel technique to remove intravesical polypropylene mesh through a single laparoscopic port placed directly into the bladder. Methods: A Triport single-site access system was placed transvesically and carbon dioxide was used for insufflation of the bladder. A combination of straight and articulating laparoscopic instruments was used to dissect the mesh away from the bladder mucosa and transect each end for complete removal of foreign bodies. Mucosal reapproximation was performed on the latter case. Results: Two patients were managed adequately in the outpatient setting. No suprapubic catheters were necessary, and patients were discharged within 23 hours. Conclusions: Removal of foreign bodies of the bladder through a single transvesical laparoscopic port is technically feasible. This procedure offers excellent visualization of mesh material, especially near the bladder neck where these foreign bodies often reside. This approach offers patients a minimally invasive approach through a single small incision.

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Ingber M, Stein RJ, Rackley RR, Firoozi F, Irwin BH, Kaouk JH et al. Single-port Transvesical Excision of Foreign Body in the Bladder. Urology. 2009 Dec 1;74(6):1347-1350. https://doi.org/10.1016/j.urology.2009.07.1218